NR602 PEDIATRIC MIDTERM EXAM (CHAMBERLAIN)
NEWEST 2026/ 2027 TEST BANK| NR 602 PEDIATRIC
MIDTERM EXAM REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+ (MOST RECENT!!)
The primary care pediatric nurse practitioner learns that the mother of a
3-year-old child has been treated for depression for over 5 years. Which
aspect of this child's development will be of the most concern to the
nurse practitioner?
a) Fine motor
b) Gross motor
c) Social/emotional
d) Speech and language - Correct Answer - D
Maternal depression in the first year of life has been associated with
poorer language development at 3 years of age.
The primary care pediatric nurse practitioner sees a 3-year-old child who
chronically withholds stools, in spite of the parents' attempts to stop the
behavior, requiring frequent treatments with laxative medications.
Which diagnosis will the nurse practitioner use to facilitate third-party
reimbursement?
a) Altered elimination pattern
b) Elimination disorder
c) Encopresis
d) Parenting alteration - Correct Answer - C
pg. 1
,Encopresis is a medical diagnosis, classified in the ICD-10-CM, and is
recognized for reimbursement purposes. "Altered elimination pattern"
and "Parenting alteration" are NANDA International diagnoses and are
not recognized for reimbursement. "Elimination disorder" is a
developmental diagnosis.
When meeting with a new family, the primary care pediatric nurse
practitioner develops a database that identifies family members and
others living in the household, relationships with others outside the
household, and significant behavioral and emotional problems. Which
tool will the nurse practitioner use to record this information?
a) CRAFFT
b) Ecomap
c) Genogram
d) Pedigree - Correct Answer - C
The genogram is an approach to developing a family database to provide
a graphic representation of family structure, roles, and problems of
recurring significance in a family. The CRAFFT tool is used to assess
substance abuse in adolescents. The ecomap is used to identify
relationships in the family and community that are supportive or
harmful. The pedigree is used to identify potential genetic disorders.
The primary care pediatric nurse practitioner evaluates a school-age
child whose body mass index (BMI) is greater than the 97th percentile.
The nurse practitioner is concerned about possible metabolic syndrome
and orders laboratory tests to evaluate this. Which diagnosis will the
nurse practitioner document for this visit?
a) Metabolic syndrome
b) Nutritional alteration: more than required
c) Obesity
pg. 2
,d) Rule out type 2 diabetes mellitus - Correct Answer - C
A problem should never be included on the problem list that is not
supported by subjective and objective data found and recorded in the
database. This child has a BMI that suggests obesity, so this may be used
as a diagnosis. Metabolic syndrome is a diagnosis that is determined by
laboratory data, which has not been evaluated yet. Nutritional alteration
is a NANDA diagnosis and not acceptable for reimbursement. "Rule
out" should not be used as a diagnosis, but may be considered part of a
plan.
The primary care pediatric nurse practitioner is performing a well child
assessment on an adolescent and is concerned about possible alcohol and
tobacco use. Which assessment tool will the nurse practitioner use?
a) CRAFFT
b) HEEADSSS
c) PHQ-2
d) RAAPS - Correct Answer - A
The CRAFFT tool is a six-question tool used to screen for adolescent
substance abuse. The HEEADSSS is used as a psychosocial screening
tool. The PHQ-2 is a rapid screen for depression. The RAAPS is used to
assess risk behaviors that contribute to most morbidity, mortality, and
social problems in teens.
The primary care pediatric nurse practitioner is assessing a toddler
whose weight and body mass index (BMI) are below the 3rd percentile
for age. The nurse practitioner learns that the child does not have regular
mealtimes and is allowed to carry a bottle of juice around at all times.
The nurse practitioner plans to work with this family to develop
improved meal patterns. Which diagnosis will the nurse practitioner use
for this problem?
pg. 3
, a) Failure to thrive
b) Home care resources inadequate
c) Nutrition alteration - less than required
d) Parenting alteration - Correct Answer - D
Because the PNP is planning to intervene by helping the parents to
provide appropriate food habits, the correct diagnosis should be
"Parenting alteration." "Failure to thrive" is a medical diagnosis and
requires a medical and social evaluation to rule out organic causes or
detect neglect. "Home care resources inadequate" would be used if the
PNP suspects that the family lacks adequate funds to purchase food.
"Nutrition alteration" is a NANDA diagnosis and would be used if the
PNP planned to consult with a dietician or give nutritional information.
The primary care pediatric nurse practitioner performs a well child
examination on a 9-month-old infant who has a history of prematurity at
28 weeks' gestation. The infant was treated for retinopathy of
prematurity (ROP) and all symptoms have resolved. When will the
infant need an ophthalmologic exam?
a) At 12 months of age
b) At 24 months of age
c) At 48 months of age
d) At 60 months of age - Correct Answer - A
Children who have a history of ROP requiring treatment, even if ROP
has completely resolved, will need yearly ophthalmologic follow-up.
Less frequent follow-up is required for children with ROP who did not
require treatment.
During a well-baby assessment on a 1-week-old infant who had a normal
exam when discharged from the newborn nursery 2 days prior, the
pg. 4
NEWEST 2026/ 2027 TEST BANK| NR 602 PEDIATRIC
MIDTERM EXAM REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+ (MOST RECENT!!)
The primary care pediatric nurse practitioner learns that the mother of a
3-year-old child has been treated for depression for over 5 years. Which
aspect of this child's development will be of the most concern to the
nurse practitioner?
a) Fine motor
b) Gross motor
c) Social/emotional
d) Speech and language - Correct Answer - D
Maternal depression in the first year of life has been associated with
poorer language development at 3 years of age.
The primary care pediatric nurse practitioner sees a 3-year-old child who
chronically withholds stools, in spite of the parents' attempts to stop the
behavior, requiring frequent treatments with laxative medications.
Which diagnosis will the nurse practitioner use to facilitate third-party
reimbursement?
a) Altered elimination pattern
b) Elimination disorder
c) Encopresis
d) Parenting alteration - Correct Answer - C
pg. 1
,Encopresis is a medical diagnosis, classified in the ICD-10-CM, and is
recognized for reimbursement purposes. "Altered elimination pattern"
and "Parenting alteration" are NANDA International diagnoses and are
not recognized for reimbursement. "Elimination disorder" is a
developmental diagnosis.
When meeting with a new family, the primary care pediatric nurse
practitioner develops a database that identifies family members and
others living in the household, relationships with others outside the
household, and significant behavioral and emotional problems. Which
tool will the nurse practitioner use to record this information?
a) CRAFFT
b) Ecomap
c) Genogram
d) Pedigree - Correct Answer - C
The genogram is an approach to developing a family database to provide
a graphic representation of family structure, roles, and problems of
recurring significance in a family. The CRAFFT tool is used to assess
substance abuse in adolescents. The ecomap is used to identify
relationships in the family and community that are supportive or
harmful. The pedigree is used to identify potential genetic disorders.
The primary care pediatric nurse practitioner evaluates a school-age
child whose body mass index (BMI) is greater than the 97th percentile.
The nurse practitioner is concerned about possible metabolic syndrome
and orders laboratory tests to evaluate this. Which diagnosis will the
nurse practitioner document for this visit?
a) Metabolic syndrome
b) Nutritional alteration: more than required
c) Obesity
pg. 2
,d) Rule out type 2 diabetes mellitus - Correct Answer - C
A problem should never be included on the problem list that is not
supported by subjective and objective data found and recorded in the
database. This child has a BMI that suggests obesity, so this may be used
as a diagnosis. Metabolic syndrome is a diagnosis that is determined by
laboratory data, which has not been evaluated yet. Nutritional alteration
is a NANDA diagnosis and not acceptable for reimbursement. "Rule
out" should not be used as a diagnosis, but may be considered part of a
plan.
The primary care pediatric nurse practitioner is performing a well child
assessment on an adolescent and is concerned about possible alcohol and
tobacco use. Which assessment tool will the nurse practitioner use?
a) CRAFFT
b) HEEADSSS
c) PHQ-2
d) RAAPS - Correct Answer - A
The CRAFFT tool is a six-question tool used to screen for adolescent
substance abuse. The HEEADSSS is used as a psychosocial screening
tool. The PHQ-2 is a rapid screen for depression. The RAAPS is used to
assess risk behaviors that contribute to most morbidity, mortality, and
social problems in teens.
The primary care pediatric nurse practitioner is assessing a toddler
whose weight and body mass index (BMI) are below the 3rd percentile
for age. The nurse practitioner learns that the child does not have regular
mealtimes and is allowed to carry a bottle of juice around at all times.
The nurse practitioner plans to work with this family to develop
improved meal patterns. Which diagnosis will the nurse practitioner use
for this problem?
pg. 3
, a) Failure to thrive
b) Home care resources inadequate
c) Nutrition alteration - less than required
d) Parenting alteration - Correct Answer - D
Because the PNP is planning to intervene by helping the parents to
provide appropriate food habits, the correct diagnosis should be
"Parenting alteration." "Failure to thrive" is a medical diagnosis and
requires a medical and social evaluation to rule out organic causes or
detect neglect. "Home care resources inadequate" would be used if the
PNP suspects that the family lacks adequate funds to purchase food.
"Nutrition alteration" is a NANDA diagnosis and would be used if the
PNP planned to consult with a dietician or give nutritional information.
The primary care pediatric nurse practitioner performs a well child
examination on a 9-month-old infant who has a history of prematurity at
28 weeks' gestation. The infant was treated for retinopathy of
prematurity (ROP) and all symptoms have resolved. When will the
infant need an ophthalmologic exam?
a) At 12 months of age
b) At 24 months of age
c) At 48 months of age
d) At 60 months of age - Correct Answer - A
Children who have a history of ROP requiring treatment, even if ROP
has completely resolved, will need yearly ophthalmologic follow-up.
Less frequent follow-up is required for children with ROP who did not
require treatment.
During a well-baby assessment on a 1-week-old infant who had a normal
exam when discharged from the newborn nursery 2 days prior, the
pg. 4
